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目的研究子宫内膜异位症不孕患者手术治疗后的妊娠情况,分析腹腔镜手术治疗术后妊娠率的影响因素。方法选择2010年3月—2014年3月腹腔镜手术治疗子宫内膜异位症不孕患者200例做为研究对象,观察子宫内膜异位症不孕患者手术治疗后的妊娠率,子宫内膜异位症的期别、病灶部位、病灶直径以及患者年龄对术后妊娠率的影响。结果子宫内膜异位症不孕患者手术后6个月内总妊娠例数为21例,总妊娠率为10.5%(21/200),6~12个月总妊娠例数为25例,总妊娠率为12.5%(25/200),12个月以上总妊娠例数为11例,总妊娠率为5.5%(11/200),子宫内膜异位症不同期别、不同病灶部位、不同病灶直径以及患者不同年龄之间妊娠率比较差异均具有统计学意义(χ~2=14.017、19.488、11.946,P<0.05),期别越高、病灶部位越多、病灶直径越大、患者年龄越高,术后妊娠率越低。结论子宫内膜异位症不孕患者术后1年内妊娠率比较高,子宫内膜异位症的期别、病灶部位、病灶直径以及患者年龄影响术后妊娠率,子宫内膜异位症期别越高、病灶部位越多、病灶直径越大、患者年龄越高,术后妊娠率越低。
Objective To study the pregnancy status of infertility patients with endometriosis and to analyze the influencing factors of the pregnancy rate after laparoscopic surgery. Methods From March 2010 to March 2014, laparoscopic surgery in infertility patients with endometriosis 200 cases of as the research object, observation of infertility patients with endometriosis after surgical treatment of pregnancy rate, intrauterine The stage of membrane ectopy, the location of the lesion, the diameter of the lesion and the influence of patient’s age on the postoperative pregnancy rate. Results The total number of pregnancies in infertile women with endometriosis within 6 months after operation was 21 and the total pregnancy rate was 10.5% (21/200). The total number of pregnancies in 6-12 months was 25 and the total The pregnancy rate was 12.5% (25/200). The total number of pregnancies over 12 months was 11 and the total pregnancy rate was 5.5% (11/200). Endometriosis was at different stages, at different sites and at different sites The diameter of lesion and the difference of pregnancy rate among different age groups were statistically significant (χ ~ 2 = 14.017, 19.488, 11.946, P <0.05). The higher the stage, the more lesion site, the larger lesion diameter, The higher the lower the postoperative pregnancy rate. Conclusion The infertility patients with endometriosis have a high pregnancy rate within 1 year after operation, the stage of endometriosis, the site of the lesion, the diameter of the lesion and the patient’s age affect the rate of postoperative pregnancy, endometriosis Do not higher, the more lesions, the lesion diameter, the higher the patient’s age, the lower the rate of postoperative pregnancy.